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CME: Updates in vaccine-preventable diseases: meningococcal meningitis

Activity Description / Statement of Need:

In this online, self-learning activity:

Meningococcal disease is a potentially severe bacterial infection caused by Neisseria meningitidis that may lead to serious sequelae and death in some even with appropriate treatment. N. meningitidis is a leading cause of bacterial meningitis and sepsis in the United States. Since the peak of the disease in the late 1990s, the incidence has declined annually and was at historic low rate of 0.11 per 100,000 population (349 cases) in the year 2017. Among the identified bacterial serogroups, B, C, and Y cause the majority of cases in the United States. Sixty percent of cases among patients 0-59 months and 50% of cases among 17-23 years of age are caused by serogroup B. Seventy-three percent of all cases among eleven year old or more are caused by serogroups C, W, or Y.

This activity has been designed for HCPs to review and update vaccination guidelines, raise awareness of gaps in practice, and improve competence and performance related to vaccination of eligible patients.

Target Audience:

The following HCPs: primary care physicians, pediatricians, and public health professionals; physician assistants, nurse practitioners, nurses, and pharmacists who practice in family medicine; and any other clinicians with an interest in or who commonly encounter patients eligible for vaccination against meningococcal disease.


Commercial Support Disclosure: This activity is supported by an educational grant from GlaxoSmithKline

Learners may participate in this activity free of charge.


Release Date: September 24, 2019 -- Expiration Date: September 24, 2021

Faculty: Shira Shafir, Ph.D., MPH

Agenda

Introduction, Disclosures

Background: review of meningococcal disease

  • Epidemiology
  • Risk factors
  • Different serogroups
  • Clinical features
  • Complications and fatality

Vaccination

  • Importance of and guidelines for vaccination
  • Present CDC recommendations
  • Commercial availability of vaccine products and types, settings for vaccination, and collaboration between members of the healthcare team
  • MIPS measure: immunizations for adolescents
  • Patient case(s)

Barriers to optimal care in patients eligible for vaccination

  • Lack of:
  • familiarity in the different serogroups and updated recommendation
  • recommendation/offer from the healthcare professional
  • systems to remind patients of vaccination schedules
  • Effective approaches to engaging with adolescents and young adults on the subject of meningococcal vaccination
  • Communicating the importance of vaccine series completion in preventing invasive meningococcal disease caused by different serotypes
  • Poor clinician knowledge of contra/indications
  • Parental barriers: understanding the value of vaccines, fear of adverse events, understanding vaccination schedules, economic barriers
  • Disparities in care between different demographic groups
  • Solutions, including:

Summary, conclusions, and best practice recap

Learning Objectives

By the end of the session the participant will be able to:

  • Recall epidemiology, clinical features, and complications of meningococcal meningitis
  • Recognize high-risk groups (e.g., 16-23 years of age) and describe the importance of immunizing them
  • Describe present meningococcal vaccination recommendations, and apply them to patient cases
  • Describe the importance of vaccine series completion to patients in the prevention of invasive meningococcal disease caused by various serotypes
  • Formulate an approaches to engaging with adolescents and young adults regarding meningococcal vaccination

Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through ScientiaCME. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: ScientiaCME designates this educational activity for a maximum of  1.00 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME-MOC_badge

ABIM MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Physicians: For maintenance of certification (MOC) credit, you must enter your board certification ID # and birth date correctly.  It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive MOC credit for this activity. Please note: not all activities on this site provide MOC credit. If this activity does not specify that it provides MOC credit in this section, then it does NOT provide MOC credit.

Physicians: For applicable courses, to attain maintenance of certification (MOC) credit, you must enter your board certification ID # and birth date correctly.  It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive MOC credit for this activity. Please note: not all activities on this site provide MOC credit. If this activity does not specify that it provides MOC credit in the "Accreditation" section on this page, then it does NOT provide MOC credit.

Pharmacists

ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmaceutical education. This activity is approved for 1.00 hours (0.10 CEUs) of continuing education.  Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit.  ACPE # 0574-0000-19-034-H01-P.  CPE credit effective 9/25/19 and expires 9/25/21. This is a Knowledge (K)-type activity.

PharmacistsYou must enter your NABP # and birth date correctly so that proof of participation can be posted to your NABP CPE profile. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive CPE credit for this activity.

Nurse Practitioners (NPs): The American Academy of Nurse Practitioners accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.  ScientiaCME will provide NPs who successfully complete each activity with a certificate of participation indicating that the activity was designated for AMA PRA Category 1 Credit(s)™.

Physician Assistants: The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.


Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review ScientiaCME.

Faculty Disclosure:  Shira C. Shafir, Ph.D., MPH has no relevant conflicts of interest to disclose.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant conflicts of interest to disclose.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowedge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Take the post-test
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural and Linguistic Competence

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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Novel antimicrobials and infectious disease practice: Research updates from ID Week 2019